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DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_4_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_3_090730  recurrent_memalona_2_090730  recurrent_memalona_1_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_1_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_3_090730  recurrent_memalona_2_090730  recurrent_memalona_4_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_2_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_3_090730  recurrent_memalona_1_090730  recurrent_memalona_4_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_3_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_5_090730  recurrent_memalona_2_090730  recurrent_memalona_1_090730  recurrent_memalona_4_090730 

DermAtlas: LEG - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: recurrent_memalona_5_090730   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: lumps & bumps (plaques, nodules, tumors) /
neoplasm, malignant
Body Site: leg / foot   Age: 63 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: woody edema, hyperpigmentation, depigmentation, and dark coarse adherent scale with discrete and confluent nodules
Comments: This 63-year-old woman had a primary melanoma on her left great toe 3 years ago. She was lost to followup until recently when she complained of swelling of her left leg. A biopsy of the nodules on her ankle showed melignant melanoma.
Related Images: All related Images  recurrent_memalona_3_090730  recurrent_memalona_2_090730  recurrent_memalona_1_090730  recurrent_memalona_4_090730 

DermAtlas: CHEST - melanoma
© 2001-2009, DermAtlas
Image Name: melanoma_2_080823   File Type: jpg
Diagnosis: MELANOMA   Category: neoplasm, malignant /
hyperpigmentation /
lumps & bumps (plaques, nodules, tumors)
Body Site: chest   Age: 80 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: ulcerated 9 X 6 mm irregularly shaped black papule with red border and some scattered gray patches and surrounding pink scaly patches
Comments: This healthy 80-year-old man developed a rapidly growing black papule on his mid chest 2 months ago. Biopsy revealed an ulcerated malignant melanoma.
Related Images: melanoma_1_080823 

DermAtlas: CHEST - melanoma
© 2001-2009, DermAtlas
Image Name: melanoma_1_080823   File Type: jpg
Diagnosis: MELANOMA   Category: neoplasm, malignant /
hyperpigmentation /
lumps & bumps (plaques, nodules, tumors)
Body Site: chest   Age: 80 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: ulcerated 9 X 6 mm irregularly shaped black papule with red border and some scattered gray patches and surrounding pink scaly patches
Comments: This healthy 80-year-old man developed a rapidly growing black papule on his mid chest 2 months ago. Biopsy revealed an ulcerated malignant melanoma.
Related Images: melanoma_2_080823 

DermAtlas: EYE - melanoma, metastatic
© 2001-2009, DermAtlas
Image Name: melanoma_1_071031   File Type: jpg
Diagnosis: MELANOMA, METASTATIC /
MELANOMA
  Category: neoplasm, malignant /
radiology
Body Site: eye / eye   Age: 51 years
Contributor: Jerzy Pawlak, MSc,PhD    
Description: A computerised tomographic scan of the orbits with infusion showed a fungating exophytic mass occupying the posterior third of the right vitreous.
Comments: A 51-year-old woman with a known choroidal melanoma (diagnosed 5 years earlier) developed marked visual loss to her right eye due to a massive retinal hemorrhage. The hemorrhage prevented examination of her retina. An ultrasound showed significant tumour growth. A computerised tomographic scan of the orbits with infusion showed a fungating exophytic mass occupying the posterior third of the right vitreous. There was no evidence of extension through the globe.

DermAtlas: FACE - melanoma, desmoplastic
© 2001-2009, DermAtlas
Image Name: Desmoplastic_melanoma_1_070917   File Type: jpg
Diagnosis: MELANOMA, DESMOPLASTIC /
MELANOMA
  Category: neoplasm, melanocytic /
neoplasm, malignant /
hyperpigmentation
Body Site: face / cheek   Age: 73 years
Contributor: Stelios Mina, MD    
Description: large indurated red plaque involving much of he right cheek and lower eye lid with scattered overlying well demarcated 2 mm to 2 cm macules and patches
Comments: A 73-year-old woman was evaluated for a pigmented lesion on her face, and a biopsy revealed a seborrheic keratosis. A year later she was noted to have a painful rock hard brown plaque, which on epeat biopsy showed a desmoplastic melanoma overlying a lentigo maligna. Immunohistochemical analysis for S-100 was positive. Desmoplastic melanoma is a term first used by Conley in 1971 to describe a variant of melanoma characterized by a dermal spindle cell population in a background of abundant collagen. Eight years later, Reed and Leonard used the term desmoplastic neurotropic melanoma to describe desmoplastic melanomas with nerve infiltration. Although desmoplastic melanoma may arise de novo, it is most commonly associated with other types of melanoma, mainly lentigo maligna. Like lentigo maligna, desmoplastic melanoma occurs in older individuals, most commonly in the sixth decade of life, and has a slight predilection for males (male-to-female ratio 1.75:1). Lesions are most often located on sun-exposed skin of the head and neck but can also be located on the trunk or extremities. Clinically, desmoplastic melanoma poses great diagnostic difficulty. Lesions are often described as raised, indurated nodules that are most often amelanotic. Although desmoplastic melanomas are typically diagnosed as advanced lesions, when matched stage for stage, they are generally considered to have survival rates similar to conventional melanomas.

DermAtlas: CHEEK - melanoma, lentigo maligna
© 2001-2009, DermAtlas
Image Name: malignant_lentigo_melanoma_3_061115   File Type: jpg
Diagnosis: MELANOMA, LENTIGO MALIGNA /
MELANOMA
  Category: neoplasm, malignant /
dermoscopy
Body Site: cheek / face   Age: 40 years
Contributor: Eric Ehrsam, MD    
Description: dermoscopy of lentigo maligna melanoma
Comments: A 69-year-old woman was evaluated for an enlarging pigmented lesion of her right cheek. A malignant lentigo melanoma was clinically suspected. Two biopsies were performed with the help of dermoscopy to outline the borders of the lesion. Pathology revealed a lentigo maligna melanoma. On this dermoscopic image (X50), one can see slate-gray dots and globules leading to annular-granular pattern which is typical of lentigo maligna melanoma. References:Atlas of dermoscopy.Edited by Ashfaq A. Marghoob, Ralph A. Braun and Alfred W Kopf. Taylor and Francis 2004.
Related Images: All related Images  malignant_lentigo_melanoma_2_061115  malignant_lentigo_melanoma_1_061115 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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